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Gemfibrozil DECREASES: high triglycerides, LDL's, cholesterol productin, sysnthesis of triglycerides. INCREAES: Cholesterol excretion AE's: thromocytopenia, blurred vision, rash Hyperlipidemia |
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Niacin B vitamin-water souble, decreases triglycerides, increases HDLS, used with other meds AES: vasodilation + flushing lrg doses are toxic, epigastric discomfort, TAKE ASPRIN 1/2 HR BEOFRE TO DETER FLUSHING Hyperlipidemia |
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Nitroglycerine venous & aterial vasodilators decrease afterload, USES: hf pt with ischemic heart dieases AE's: Hypo, head ache |
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Digoxin INCREASES: cardiac contractility, force and strength DECREASES: HR NARROW WINDOW .5-2 TOXIC ABOVE 2 --------------------------- Dig toxicity: EARLY nauease, annorexia, confusion. LATER cardiac dysrthimas, brady tachy, AV block, visual distrubances.
MONITOR AES-60 sec apical hold if below 60 greather then 120 |
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Decreases preload, loop diuretics contain sulfa and work on loop of henle.(lasix)
Potassium sparing diurtics-act on distal tubing-(spironlactone) |
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Lovastatin DECREASES: lipid lvls-interfers with lipid sythesis. inhibits enzymes, lowvers LDL and totalt blood CHOlesterol AES: liver function, myalgia, photosensitvoty, myopathy(esp wit niacin). check liver and kidney function Hyperlipidemia |
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Cholestyramine (questran) Lower LDL release in bowels-drug of choice when lifestyle not enough--mix with beverage AES-GI EFFECTS (fecal impactment, diarrhea, vommiting) Hyperlipidemia |
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